Wayside Recovery Center

LBN: Wayside House, Inc.
Wayside Recovery Center is an health care organization with primary practice located at 1349 Jersey Ave S , St. Louis Park MN 55426. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Wayside House, Inc. can be contacted via phone (952) 542-9322, or through Forrest-Perkins, Karina via phone (651) 242-5542.

Contact Information

Primary practice address
1349 Jersey Ave S St. Louis Park MN 55426
Phone: (952) 542-9322
Fax: (952) 542-0031
Website:
Map and Directions
Authorized official contact:
Name: Forrest-Perkins, Karina MHR LADC
Phone: (651) 242-5542

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1092849 Minnesota
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1092849 Minnesota

Profile Details

NPI number 1649756040
LBN Legal business name Wayside House, Inc.
DBA Doing business as Wayside Recovery Center
Authorized official Forrest-Perkins, Karina MHR LADC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2018
Last updated Jul 18th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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